Ethical Issues in the delivery of Prevention of Mother-to- Child Transmission of HIV intervention in South India

Ethical Issues in the delivery of Prevention of Mother-to- Child Transmission of HIV intervention in South India

The study investigated the views of both providers and women about current PMTCT programs in India.

Research objectives:

1 To explore current practices of health care workers in Government of India facilities     offering antenatal care, HIV testing and PMTCT services with regard to confidentiality, pre and post test counseling and provision of informed consent for HIV  testing and treatment

2 To investigate women’s experiences with maternal care and PMTCT in INDIA including their perceptions about the information provided during the process, their understanding of the risks and benefits of HIV testing and PMTCT and their role in decision making around those issues.

Study setting:  Study was conducted at Public Health Research Institute (PHRII) in Mysore and Prayas in Pune

Study participants:  A broad sample of stakeholders with variable roles in Maternal child health and PMTCT in Mysore district and in Pune. Participants included administrators, physicians, nurses, counselors, pregnant women, community health workers including ANM and Accredited Social Helath Activists.

Study design:  Qualitative methods like Key informant’s interviews, Focus Group Discussions and 8 semi structured interviews of recently delivered HIV infected women (within the last year) who underwent HIV testing in government hospital or ANC center were used.

Study co coordinator at Prayas:  Dr. Sanjeevani Kulkarni

Investigator:  Dr. Purnima Madhivanan and Dr. Vinay Kulkarni

Finantial support: Dr Purnima Madhivanan’s Ethics Fellowship from Fordham University.

Period: 01/10/2012 to 30/11/2012